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Individual
JOANMARIE DIETZ PELLEGRINI
Active
Individual
JOANMARIE DIETZ PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036-138577
IL
208600000X
Surgery Physician
81948
MA
2086S0127X
Trauma Surgery Physician
015414
ME
2086S0127X
Trauma Surgery Physician
81948
MA
2086S0127X
Trauma Surgery Physician
Primary
MD15414
ME
Other
Enumeration date
01/24/2006
Last updated
02/03/2022
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